Individual provider · Type 1 NPI

Mary Lisa Brantley, FNP

Nurse Practitioner · Greenville, NC

NPI number 1346516994 Active

Practice location

517 Moye Blvd
Greenville, NC 27834-2849

Fax (252) 744-5035

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5005507 (NC)
Nurse Practitioner 363L00000X172458 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346516994

Mary Lisa Brantley, FNP's National Provider Identifier is 1346516994, issued on Mar 28, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenville, NC. The record was last updated on Feb 2, 2026.